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冲脉是中医对血管系统的一种描述?

Chōng meridian an ancient Chinese description of the vascular system?

出版信息

Acupunct Med. 2014 Jun;32(3):279-85. doi: 10.1136/acupmed-2013-010496. Epub 2014 Mar 4.

DOI:10.1136/acupmed-2013-010496
PMID:24595019
Abstract

The objectives of this research are, first, to establish if the extraordinary acupuncture meridian known as Chōng, Penetrating Vessel or Sea of Blood, is in essence a description of certain macroscopic parts of the underlying vascular system and, second, by extension, to show that it is likely that cadaveric dissection would have been used as a tool to arrive at this understanding. Generally accepted scholarly opinion holds that the ancient Chinese rarely used dissection in order to explore the anatomy of the human body, and that the meridians are therefore invisible metaphysical structures corresponding to lines drawn on the body. However, the seminal text, 'The Yellow Emperor's Classic of Internal Medicine', describes using palpation to examine the living and dissection to examine the dead. This implies that the original authors of these texts were observing physical structures visible to the naked eye. Dissection has therefore been used to compare the descriptions of the Chōng meridian in 'The Yellow Emperor's Classic of Internal Medicine' with the vascular anatomy of the human body. Fifteen acupuncture points located on various different ordinary meridians but bearing the same name, Chōng, were also examined to see if they bore any relationship to the vascular system. The dissections clearly show that the Chōng meridian correlates to certain main blood vessels in the body, in particular the vena cava. Similarly, most Chōng acupuncture points have a strong correspondence with blood vessels, marking terminal arteries on the hands, feet and forehead and anastomoses on the face, body and feet. These findings strongly suggest that the ancient Chinese texts relating to this meridian are likely to have been a 'description' of the vascular system. Furthermore, the ancient Chinese apparently had a high degree of anatomical skill in the practice of dissection and acute powers of observation.

摘要

本研究的目的有二

其一,确定所谓的奇经冲脉,即中医的“冲脉”或“血海”,究竟在本质上是否是对某些潜在血管系统的宏观部分的描述;其二,通过进一步延伸,表明对尸体进行解剖可能是古人获得这一认识的工具。普遍接受的学术观点认为,古人很少使用解剖学来探索人体解剖结构,因此经络是无形的、形而上的结构,与身体上的线条相对应。然而,《黄帝内经》这一开创性文本描述了使用触诊检查活体和解剖检查尸体。这意味着这些文本的原始作者观察到了肉眼可见的物理结构。因此,解剖学被用于将《黄帝内经》中对“冲脉”的描述与人体的血管解剖结构进行比较。此外,还检查了位于不同普通经络上但名称相同的 15 个冲穴,以观察它们与血管系统是否存在关联。解剖学清楚地表明,冲脉与身体中的某些主要血管相关,特别是腔静脉。同样,大多数冲穴位与血管有很强的对应关系,在手、脚和额头上标记终动脉,在面部、身体和脚上标记吻合。这些发现强烈表明,与该经络相关的中医古籍很可能是对血管系统的“描述”。此外,古人显然在解剖实践中具有高度的解剖学技能和敏锐的观察能力。

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Evid Based Complement Alternat Med. 2019 Mar 21;2019:7126439. doi: 10.1155/2019/7126439. eCollection 2019.
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Med Acupunct. 2019 Feb 1;31(1):19-28. doi: 10.1089/acu.2018.1325. Epub 2019 Feb 7.